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Miscellaneous - 120 DUNCAN DRIVE 4/30/2018 (3)
120 DUNCAN DRIVE - 210/104.6-0177-0000.0 �✓`�� 1` 1 f V North Andover Board of Assessors Public Access _ Page 1 of 1 Parcel ID: 210/104.B-0177-0000.0 Community: North Andover SKETCH PHOTO Click on Sketch to Enlarge No Picture Available Location: 120 DUNCAN DRIVE Owner Name: BCD -RMD FAMILY REALTY TRUST DOHERTY, BERNADETTE TRUSTEE Owner Address: 120 DUNCAN DRIVE City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 6 - 6 Land Area: 1.33 acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 1800 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 471,900 439,400 Building Value: 199,300 187,200 Land Value: 272,600 252,200 Market Land Value: 272,600 Chapter Land Value: LATEST SALE Sale Price: 487,000 Sale Date: 03/29/2004 Arms Length Sale Code: Y-YES-VALID Grantor: BARBAGALLOS,ANN Cert Doc: Book: 8662 Page: 235 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&Linkld=807925 9/11/2006 e 2 � 5 1 � o JCl J � (Blue Cross Blue Shield of MA) a Fallon Senior Plan (Fallon Community Health Plan) i First Seniority Freedom (Harvard Pilgrim Health Care) Senior Whole Health s,{+ Tufts Health Plan Medicare Preferred (Tufts Health Plan) ll� i i Medicare Card Number I # I give permission to bill my insurance (Signature of person to receive vaccine or thi X For Clinic/Office Use: Vaccine name �lt�i �i� Injection site: ci:P 'Yl Date VIS gi JVaccine manufacturer: r-C � Name and title of vaccine administrator: Clinic/office address: M Influenza Forms—MAHP/Masspro Plan Reimbursement Pti i / I ('� I F l 1 n I V \1 4 W � � � � � � a �� � �� � �3 `� � a � �� � � . � � � �� �� � � � � � � � ,4 Blue Gross Blue Shield of MA Fallon Senior Plan (Fallon Community Health Plan) First Seniority Freedom (Harvard Pilgrim Health Care) Senior Whole Health Tufts Health Plan Medicare Preferred (Tufts Health Plan) Medicare Card Number # A I give permission to bill my insurance (Signature of person to receive vaccine or the -- X For Clinic/Office Use: Vaccine nameN-1- Injection site:K CRS' Date VIS gi JVaccine manufacturer: Name and title of vaccine administrator: Clinic/office address: r Influenza Forms—MAHP/Masspro Plan Reimbursement R i 66 Of MORTM,M O a •i s Town of North Andover `,. .. HEALTH DEPARTMENT �s S gACMUSt CHECK#: D TE: U� LOCATION: H/0 NAME: e CONTRACTOR NAME:. �. Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title Inspector $ Title 5 Report $ ff�7 ❑ Other:(Indicate) $ r Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer l�--� PETER F. REILLY RECEIVEDG 136 ANDOVER STREET MAY 2 1 2009v ANDOVER, MA 01810 OF(978) 375-3750 ToWN HEALTH DEPARTM NTER TITLE V OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION Property Address: 120 Duncan Drive, North Andover, MA 01845 Name of Owner: Bernadette Doherty, Trustee Address of Owner: same Name of Inspector: Peter F. Reilly Company Name: same Mailing Address. 136 Andover Street, Andover, MA 01810 Telephone Number: (978) 375-3750 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) The system: ✓ Passes N/A Conditionally Passes N/A Needs Further Evaluation By the Local Approving Authority N/A Fails Inspector's Signature: ZA Date: April 25, 2008 er F. Reilly The system inspector shall submit a copy ofthis inspection reportto the Approving Authority(Board of Health or DEP)within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submitthe reportto the regional office of the DEP.The original should be sentto the system owner and copies sent to the buyer, if applicable, and the approving authority. NOTES AND COMMENTS ****This report only describes conditions a the time of inspection and under conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use (See attached Disclaimer). Also, under Town of North Andover septic regulations, the system will need to be inspected again on or about November 17, 2009. (see attachment). �S I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 INSPECTION SUMMARY: A. SYSTEM PASSES: Check A, B, C, D, or E /ALWAYS complete all of Section D ✓ I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: The system met the Pass Criteria of Title V. Originally, the ins inspection was a conditional ass but the P pass, septic tank and distribution box were replaced following the inspection. B. SYSTEM CONDITIONALLY PASSES: N/A One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no, or not determined (Y, N, ND). Describe basis of determination in all instances. If "not determined", explain why not) N The septic tank is metal, and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: N Observation of a sewage backup or breakout or high static water level in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): N/A broken pipe(s) are replaced N/A obstruction is removed N/A distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): N/A broken pipe(s) are replaced N/A obstruction is removed OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health,safety and the environment: N/A Cesspool of privy is within 50 feet of a surface water N/A Cesspool or privy is within 50 feet of a bordering vegetated wetland or salt marsh. 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: N/A The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. N/A The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply well. N/A The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. N/A The system has a septic tank and SAS the SAS is less than 100 feet but 50 feet or more from a private water supply well.**Method used to determine distance N/A This system passes if the water well water analysis, performed at a certified DEP laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. A copy of the analysis must be attached to this form. 3. Other N/A i t OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 D. System Failure Criteria applicable to all systems: You must indicate"Yes"or"No"to each of the following for a//inspections: Yes No No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. No Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. No Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. N/A Liquid depth in cesspool less than 6"below invert or available volume<'/z day flow. No required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: once No Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. N/A Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. N/A Any portion of a cesspool or privy is within a Zone I of a private water supply well. N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well. N/A Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP laboratory, for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen is less than 5 ppm,provided that no otherfailure criteria are triggered.A copy of the analysis must be attached to this form). N/A The system fails. I have determined that one or more of the above failure criteria exist as defined in 310 CMR 15.303, therefore the system fails. The property owner should contact the Board of Health should be contacted to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You Must indicate either"Yes"or"No"to each of the following: (The following criteria apply to a large system in addition to the criteria above) N/A The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No N/A The system is within 400 feet of a surface drinking water supply N/A The system is within 200 feet of a tributary to a surface drinking water supply N/A The system is located in a nitrogen sensitive area (Interim Wellhead Area - IWPA) or a mapped Zone II of a public water supply well) If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any such system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART B - CHECKLIST Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 Check if the following have been done. You must indicate either"Yes" or"No"as to each of the following: Yes No No Pumping information was provided by the owner, occupant, or Board of Health. No Were any of the system components pumped out in the previous two weeks ? No Has the system received normal flow in the previous two week period ? No Have large volumes of water been introduced to the system recently or as part of this inspection? Yes Were as built plans of the system obtained and examined ? (If they were available note as N/A) Yes Was the facility or dwelling was inspected for signs of sewage backup ? Yes Was the site was inspected for signs of breakout? Yes Were all system components, excluding the SAS, located on the site? Yes Were the septic tank manholes uncovered, opened and the interior of the septic tank inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum? Yes Was the facility owner(and occupants of if different from the owner) provided information on the proper maintenance of subsurface sewerage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: Yes No Yes Existing information. For example, a plan at the Board of Health. N/A Determined in the field if any of the failure criteria related to Part C is at issue(approximation of distance is unacceptable) [15.302(3)(b)]. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 FLOW CONDITIONS RESIDENTIAL: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms: 600 gpd (per design plan) Number of Current residents: none Does the residence have a garbage grinder(yes or no): no Is the laundry on a separate sewerage system (yes or no): no (if yes, separate inspection required) Laundry system inspected (yes or no): N/A Seasonal use(yes or no): no Water meter readings, if available(last 2 years usage[gpd]): N/A(property is on a domestic well) Sump Pump(yes or no): no Last date of occupancy: November 2008 COMMERCIAL/INDUSTRIAL: Type of Establishment: N/A Design Flow gpd (based on 15.203): N/A Basis of Design Flow(seats/persons/sq.ft., etc): N/A Grease trap present(yes or no): N/A Industrial waste holding tank present(yes or no): N/A Non-sanitary waste discharged to the Title 5 system (yes or no): N/A Water meter readings, if available: N/A Last date of occupancy/use: N/A OTHER: (Describe) N/A GENERAL INFORMATION PUMPING RECORDS Source of Information: not known (property vacant) Was system pumped as part of inspection(yes or no): no if yes,volume pumped(gallons): N/A How was quantity pumped determined? N/A Reason for pumping: N/A TYPE OF SYSTEM ✓ Septic tank/distribution box, soil absorption system Single cesspool Overflow cesspool Privy NO Shared system (yes or no) (if yes, attach previous inspection records, if any) Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from the system owner) Tight Tank Attach a copy of the DEP Approval Other(describe): Approximate age of all components,date installed(if known)and source of information:original system installed in 1983. As-built plan dated 9-27-1983. Were sewerage odors detected when arriving at the site (yes of no): no OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 BUILDING SEWER: (locate on site plan) Depth below grade: about 6"-8 " Materials of construction: cast iron ✓40 PVC other(explain) Distance from private water supply well or suction line N/A Diameter: 4" Comments: Condition of joints, venting, evidence of leakage, etc.) Building sewer was watertight and appeared sound at foundation. i SEPTIC TANK: ✓ (locate on site plan) Depth below grade: about 0" -4" (iron cover at surface for outlet on replacement tank) Material of construction: ✓ concrete metal Fiberglass Polyethylene other(explain) If tank is metal, list age N/A Is age confirmed by Certificate of Compliance N/A(Yes/No) Dimensions: Rectangular- 1,500 gallons Sludge depth: <11, Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness: <11, Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 16" How dimensions were determined: observation Comments: (on pumping recommendations,of inlet and outlet tees or baffle condition, structural integrity, liquid level as related to outlet invert, evidence of leakage, etc.) Tank was leaking at the time of the inspection at a level about 12" below the outlet invert. The tank was replaced following p the inspection. GREASE TRAP: N/A (locate on site plan) Depth below grade: material of construction: concrete metal FRP other(explain) Dimensions: N/A Scum thickness: N/A Distance from top of scum to top of outlet tee or baffle: N/A Distance from bottom of scum to bottom of outlet tee or baffle: N/A Date of Last Pumping: N/A Comments: (on pumping recommendations,of inlet and outlet tees or baffle condition,structural integrity, liquid level as related to outlet invert, evidence of leakage, etc.) N/A • OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 TIGHT or HOLDING TANK: N/A(tank must be pumped at time of inspection) (locate on site plan) Depth below grade: N/A material of construction: concrete metal Fiberglass Polyethylene other(explain) Dimensions: N/A Capacity: N/A gallons Design Flow: N/A gallons per day Alarm Present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): N/A Date of last pumping: N/A Comments: (condition of alarm and float switches, etc.) N/A DISTRIBUTION BOX: ✓ (locate on site plan) 0" depth of liquid above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc.) D-box was level. Four lines leading to SAS were accepting effluent unevenly. Minimal solids carryover evident. The d-box was severely deteriorated and was replaced following the inspection. PUMP CHAMBER: N/A(locate on site plan) Pumps in working order(yes or no) N/A Alarms in working order(yes or no) N/A Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) not applicable OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan, if possible;excavation not required) If SAS not located, explain why: Type leaching pits, number N/A leaching chambers and number N/A leaching galleries and number N/A leaching trenches, number, length N/A ✓ leaching fields, number, dimensions 1 field, 20'x 45' (per design plan) overflow cesspool, number N/A alternative system (name of technology) N/A Comments:(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.) Soils in area of SAS appeared normal, no signs of breakout. CESSPOOLS: N/A (locate on site plan) Number and configuration N/A Depth-top of liquid to inlet invert N/A Depth of solids layer N/A Depth of scum layer N/A Dimensions of cesspool N/A Materials of construction N/A Indication of groundwater inflow(cesspool must be pumped as part of inspection) N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc.) not applicable PRIVY: N/A (locate on site plan) Materials of construction N/A Dimensions N/A Depth of solids N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc.) not applicable i i • OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) _-Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 SKETCH OF SEWAGE DISPOSAL SYSTEM: Provide a sketch of the sewerage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100'. The domestic well is greater than 1 00'from the building. NEW 1,500 GAL 2� SEPTIC TANK NEW D-BOX A.. L q7 C.I. COVER OVER OUTLET ft's ' + LritV EXTEND TO F.G. PROVIDE #1 2p, � EFFL TEE FILTER OUTLET PVC CLEAN OUT y--' EXTEND TO E.G. ( F, APP. APP. s — J, WELL �,� _ 4 3j SEPTIC TANK TIES: A to Inlet 14.8' B to Inlet 12.8' A to Outlet 20.0' B to Outlet 13.0' D-BOX TIES: A to Box 26.7' B to Box 16.8' i NOTE: The system is in the rear yard. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 SITE EXAM Slope Flat to gently sloping in area of SAS Surface water none observed Check cellar dry Shallow wells none observed II Estimated Depth to Groundwater>1" (below bottom of SAS) Please indicate (check) all methods used to determine the high ground water elevation: Y Obtained from Design Plans on record - if checked, date of design plan reviewed: 5/6/1982 Y Observed site (abutting property, observation hole within 150 feet of SAS) Y Check with Local Board of Health - explain: information on file Y Check local excavators, installers - (attach documentation) N Accessed USGS Database - explain: website too complicated You must describe how you established the high ground water elevation.* The 1982 design plan indicated that groundwater separation was adequate. However,the precise groundwater elevation cannot be determined for certain without a soil evaluation test. *Inspector's Note: Soil Evaluation is the currently recognized method for determining or establishing the high groundwater elevation. Since I am not a licensed or certified soil evaluator, I am not qualified to determine or establish the high groundwater elevation beyond the public information available, such as recent design plans of the site or the nearby area. My estimation of the high groundwater elevation is based on a due diligence effortto obtain all available information both on and off the site and my experience as a certified subsurface disposal system inspector. (see attached Disclaimer) DISCLAIMER This passing septic inspection under Massachusetts Title V is in no way a guaranty or warranty of the inspected septic system. The inspection is a"snapshot in time" and does not constitute a complete assessment of the quality or potential longevity of the septic system. The pass/fail criteria are specific and outlined in detail in this report. Under the limited criteria of Title V inspection, it is impossible to determine how long any septic system will last. The inspector made a diligent effort to certify the septic system based on the criteria required under Title V. Under Massachusetts Title V, soil evaluation is the accepted method of determining the high groundwater elevation. This inspector is not a certified soil evaluator and is therefore not qualified under Title V to determine or establish the high groundwater elevation. The method used to estimate the high groundwater for this inspection was based on the public records and methods of observation described on the previous page. Groundwater levels can vary greatly from season to season, yearto year and soil evaluation is considered the most reliable method of groundwater determination under Title V. Peter F. Reilly Inspector April 25, 2009 NORTH ANDOVER REGULATIONS REGARDING RE-INSPECTION Town Septic Regulation 17.03 "Any septic system that conditionally passes a Title V inspection due to a component failure, which has resulted in the leaching area having not received the usual effluent flow, is required to have a second inspection conducted 6 months later. A MA licensed inspector must conduct this inspection and a proper report must be submitted to the health department." The installation of the replacement components (septic tank and distribution box)was completed on May 17, 2009. Therefore, the system must be re-inspected on or about November 17, 2009. The reader is cautioned that the cost of the second inspection is not included in the fee forthe current inspection. I will be pleased to provide the required second inspection at a cost to the homeowner of $250. The quotation for the re- inspection fee is valid until November 21, 2009. The homeowner is free to hire another inspector to complete the second inspection. The reader is strongly encouraged to read this report in its entirety, including the disclaimer on the previous page.The reader is further cautioned that the soil absorption system (SAS) is original (1983) and has not received normal effluent flow for an undetermined amount of time. The SAS met the pass criteria of Title V as of April 25, 2009. Peter Reilly Inspector May 20, 2009 ds-'Lf ' - 1,41 7 OS [NOOMALR3 Boston Bar Association Lawyer Referral Service We will refer you to an attorney for assistance with any legal matter, including: Need an attorney? OUI/Criminal Matters Bankruptcy Call us first. wills,Trusts&Estates Medical/Legal Malpractice 617-742-0625 Real Estate Transactions 800-552-7046 Landlord Tenant (Eastern MA) Civil Rights/Discrimination Juvenile& Family Law Labor&Employment SSI/SSDI/Worker's Comp 7 Personal Injury/Property Damage i Your referral is free, and your first half-hour consultation with the attorney never costs more than $25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Attorney's Name Attorney's Phone BBA-LRS Referral Number � Boston B ar YEET9 ABA 9TAROAR03 ti� F00.LAWYER REFERRAL AMERICAN BAR ASSOCIATION A S S 0 C I A T I O N 14ORT14 O��t�eo �°gti0 OL O TED � n eya O COCNIL MM WKw y1' �9SSgc 1+u5���y PUBLIC HEALTH DEPARTMENT Community Development Division C21RTI FICArr(F OF 0014( GIANCE As of: May 19, 2009 This is to cert that the individual su6surface disposal system received a SAVS1FACTORTINSTEMOYof the: . Replacement of the Septic 2ankand Distri6ution Boal By. McFiael Why At: 120 Duncan Drive JKap 104.B; Farrell TT North Andover, W,4 01845 The Issuance of this cert ate shall not be construed as a guarantee that the system will function satisfactorily. f /4 S an 1Y. Sa er (Public Ifealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com vtO R TH 0? Ota', Fs'6 O N A O coc«ii«ewaw �• ��SSAC HU5��4y PUBLIC HEALTH DEPARTMENT Community Development Division CERTI FIC.A2'E O F' CO�V1�1'rIV'C'E .A� As of: .May 19, 2009 r1his is to cert that the individuaCsu6surface d�.sposaCsystem received a SA` XSFAC`70RT1XSPEM0X of the: replacement of the Septic 2ankand qX stri6udon* Boo By. McFiaefgWffy At: 120 Duncan Drive flap 104.B; Parcef1 TT North Andover, ,IA 01845 9fiie Issuance of this certificate shaft not 6e construed as a guarantee that the system wilt function satisfactoriCy. l f/ .11/Y•�' Sgsan T Sa "er < ft6Cic9leaCth(Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com ` PETER F. REILLY RECEIVED 136 ANDOVER STREET MAY 2 8 2009 ANDOVER, MA 01810 (978) 375-3750 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT TITLE V t OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION Property Address: 120 Duncan Drive, North Andover, MA 01845 Name of Owner: Bernadette Doherty, Trustee Address of Owner: same Name of Inspector: Peter F. Reilly Company Name: same Mailing Address: 136 Andover Street, Andover, MA 01810 Telephone Number: (978) 375-3750 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) The system: N/A Passes ✓ Conditionally Passes N/A Needs Further Evaluation By the Local Approving Authority N/A Fails Inspector's Signature: Date: April 25, 2008 Pegr F. Reilly The system inspector shall submit a copy ofthis inspection report to the Approving Authority(Board of Health or DEP)within thirty(30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the reportto the regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. NOTES AND COMMENTS ****This report only describes conditions a the time of inspection and underconditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use (See attached Disclaimer). OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 INSPECTION SUMMARY: A. SYSTEM PASSES: Check A, B, C, D, or E /ALWAYS complete all of Section D N/A I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: The system met the Pass Criteria of Title V. Originally, the inspection was a conditional pass, but the septic tank and distribution box were replaced following the inspection. B. SYSTEM CONDITIONALLY PASSES: ✓ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no, or not determined (Y, N, ND). Describe basis of determination in all instances. If "not determined", explain why not) Y The septic tank is metal, and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Septic tank is leaking about 12" below the outlet invert. Y Observation of a sewage backup or breakout or high static water level in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): N/A broken pipe(s) are replaced N/A obstruction is removed Yes distribution box is leveled or replaced ND explain: D-box is severely deteriorated and need to be replaced. The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): N/A broken pipe(s)are replaced N/A obstruction is removed OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment: N/A Cesspool of privy is within 50 feet of a surface water N/A Cesspool or privy is within 50 feet of a bordering vegetated wetland or salt marsh. 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: N/A The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. N/A The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply well. N/A The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. N/A The system has a septic tank and SAS the SAS is less than 100 feet but 50 feet or more from a private water supply well.**Method used to determine distance N/A This system passes if the water well water analysis, performed at a certified DEP laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. A copy of the analysis must be attached to this form. 3. Other N/A • OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 D. System Failure Criteria applicable to all systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. No Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. No Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. N/A Liquid depth in cesspool less than 6"below invert or available volume<'/z day flow. No required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: once No Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. N/A Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. N/A Any portion of a cesspool or privy is within a Zone I of a private water supply well. N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well. N/A Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP laboratory, for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen is less than 5 ppm,provided that no otherfailure criteria are triggered.A copy of the analysis must be attached to this form). N/A The system fails. I have determined that one or more of the above failure criteria exist as defined in 310 CMR 15.303, therefore the system fails. The property owner should contact the Board of Health should be contacted to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You Must indicate either"Yes"or"No"to each of the following: (The following criteria apply to a large system in addition to the criteria above) N/A The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No N/A The system is within 400 feet of a surface drinking water supply N/A The system is within 200 feet of a tributary to a surface drinking water supply N/A The system is located in a nitrogen sensitive area (Interim Wellhead Area - IWPA) or a mapped Zone II of a public water supply well) If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any such system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. I • OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART B - CHECKLIST Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 Check if the following have been done. You must indicate either"Yes"or"No"as to each of the following: Yes No No Pumping information was provided by the owner, occupant, or Board of Health. No Were any of the system components pumped out in the previous two weeks ? No Has the system received normal flow in the previous two week period ? No Have large volumes of water been introduced to the system recently or as part of this inspection? Yes Were as built plans of the system obtained and examined ? (If they were available note as N/A) Yes Was the facility or dwelling was inspected for signs of sewage backup ? Yes Was the site was inspected for signs of breakout? Yes Were all system components, excluding the SAS, located on the site ? Yes Were the septic tank manholes uncovered, opened and the interior of the septic tank inspected for condition of baffles or tees, material of construction,dimensions, depth of liquid, depth of sludge, depth of scum? Yes Was the facility owner(and occupants of if different from the owner) provided information on the proper maintenance of subsurface sewerage disposal systems ? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: Yes No Yes Existing information. For example, a plan at the Board of Health. N/A Determined in the field if any of the failure criteria related to Part C is at issue(approximation of distance is unacceptable) [15.302(3)(b)]. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 FLOW CONDITIONS RESIDENTIAL: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms: 600 gpd(per design plan) Number of Current residents: none Does the residence have a garbage grinder(yes or no): no Is the laundry on a separate sewerage system(yes or no): no (if yes, separate inspection required) Laundry system inspected(yes or no): N/A Seasonal use(yes or no): no Water meter readings, if available(last 2 years usage[gpd]): N/A(property is on a domestic well) Sump Pump(yes or no): no Last date of occupancy: November 2008 COMMERCIAL/INDUSTRIAL: Type of Establishment: N/A Design Flow gpd (based on 15.203): N/A Basis of Design Flow(seats/persons/sq.ft., etc): N/A Grease trap present(yes or no): N/A Industrial waste holding tank present(yes or no): N/A Non-sanitary waste discharged to the Title 5 system (yes or no): N/A Water meter readings, if available: N/A Last date of occupancy/use: N/A OTHER: (Describe) N/A GENERAL INFORMATION PUMPING RECORDS Source of Information: not known (property vacant) Was system pumped as part of inspection (yes or no): no if yes, volume pumped (gallons): N/A How was quantity pumped determined? N/A Reason for pumping: N/A TYPE OF SYSTEM ✓ Septic tank/distribution box, soil absorption system Single cesspool Overflow cesspool Privy NO Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from the system owner) Tight Tank Attach a copy of the DEP Approval Other(describe): Approximate age of all components,date installed(if known)and source of information:original system installed in 1983. As-built plan dated 9-27-1983. Were sewerage odors detected when arriving at the site(yes of no): no OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 BUILDING SEWER: (locate on site plan) Depth below grade: about 6"-8" Materials of construction: cast iron ✓40 PVC other(explain) Distance from private water supply well or suction line N/A Diameter: 4" Comments: Condition of joints, venting, evidence of leakage, etc.) Building sewer was watertight and appeared sound at foundation. SEPTIC TANK: ✓ (locate on site plan) Depth below grade: about 2"-4" Material of construction: ✓ concrete metal Fiberglass Polyethylene other(explain) If tank is metal, list age N/A Is age confirmed by Certificate of Compliance N/A(Yes/No) Dimensions: Rectangular- 1,500 gallons Sludge depth: <11, Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness: <1 Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 16" How dimensions were determined: observation Comments: (on pumping recommendations,of inlet and outlet tees or baffle condition,structural integrity, liquid level as related to outlet invert, evidence of leakage, etc.) Tank was leaking at the time of the inspection at a level about 12" below the outlet invert. GREASE TRAP: N/A (locate on site plan) Depth below grade: material of construction: concrete metal FRP other(explain) Dimensions: N/A Scum thickness: N/A Distance from top of scum to top of outlet tee or baffle: N/A Distance from bottom of scum to bottom of outlet tee or baffle: N/A Date of Last Pumping: N/A Comments: (on pumping recommendations,of inlet and outlet tees or baffle condition,structural integrity, liquid level as related to outlet invert, evidence of leakage, etc.) N/A • OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 TIGHT or HOLDING TANK: N/A(tank must be pumped at time of inspection) (locate on site plan) Depth below grade: N/A material of construction: concrete metal Fiberglass Polyethylene other(explain) Dimensions: N/A Capacity: N/A gallons Design Flow: N/A gallons per day Alarm Present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): N/A Date of last pumping: N/A Comments: (condition of alarm and float switches, etc.) N/A DISTRIBUTION BOX: ✓ (locate on site plan) 0" depth of liquid above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc.) D-box was level. Four lines leading to SAS were accepting effluent unevenly. Minimal solids carryover evident. The d-box was severely deteriorated and needs replacement. PUMP CHAMBER: N/A(locate on site plan) Pumps in working order(yes or no) N/A Alarms in working order(yes or no) N/A Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) not applicable II • OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan, if possible;excavation not required) If SAS not located, explain why: Type leaching pits, number N/A leaching chambers and number N/A leaching galleries and number N/A leaching trenches, number, length N/A ✓ leaching fields, number, dimensions 1 field, 20'x 45' (per design plan) overflow cesspool, number N/A alternative system (name of technology) N/A Comments:(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.) Soils in area of SAS appeared normal, no signs of breakout. CESSPOOLS: N/A (locate on site plan) Number and configuration N/A Depth-top of liquid to inlet invert N/A Depth of solids layer N/A Depth of scum layer N/A Dimensions of cesspool N/A Materials of construction N/A Indication of groundwater inflow(cesspool must be pumped as part of inspection) N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc.) not applicable PRIVY: N/A (locate on site plan) Materials of construction N/A Dimensions N/A Depth of solids N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc.) not applicable i i OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 SKETCH OF SEWAGE DISPOSAL SYSTEM: Provide a sketch of the sewerage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100'. The domestic well is greater than 1 00'from the building. 0 APP. REAR WELL YARD House FRONT PORCH YARD i CC SAS D-BOX 4 ------------- SEPTIC TANK TIES: A to Tank 43.0" B to Inlet 15.0' D-BOX TIES: A to Box 52.0' B to Box 27.0' NOTE: The system is in the rear yard. • OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 120 Duncan Drive, North Andover Owner's Name: Bernadette Doherty, Trustee Date of Inspection: 4/25/2009 SITE EXAM Slope Flat to gently sloping in area of SAS Surface water none observed Check cellar dry Shallow wells none observed Estimated Depth to Groundwater>1" (below bottom of SAS) Please indicate (check) all methods used to determine the high ground water elevation: Y Obtained from Design Plans on record - if checked, date of design plan reviewed: 5/6/1982 Y Observed site (abutting property, observation hole within 150 feet of SAS) Y Check with Local Board of Health - explain: information on file Y Check local excavators, installers - (attach documentation) N Accessed USGS Database - explain: website too complicated You must describe how you established the high ground water elevation.* The 1982 design plan indicated that groundwater separation was adequate. However,the precise groundwater elevation cannot be determined for certain without a soil evaluation test. *Inspector's Note: Soil Evaluation is the currently recognized method for determining or establishing the high groundwater elevation. Since I am not a licensed or certified soil evaluator, I am not qualified to determine or establish the high groundwater elevation beyond the public information available, such as recent design plans of the site or the nearby area. My estimation of the high groundwater elevation is based on a due diligence effortto obtain all available information both on and off the site and my experience as a certified subsurface disposal system inspector. (see attached Disclaimer) i DISCLAIMER This passing septic inspection under Massachusetts Title V is in no way a guaranty or warranty of the inspected septic system.The inspection is a"snapshot in time"and does not constitute a complete assessment of the quality or potential longevity of the septic system. The pass/fail criteria are specific and outlined in detail in this report. Under the limited criteria of a Title V inspection, it is impossible to determine how long any septic system will last. The inspector made a diligent effort to certify the septic system based on the criteria required under Title V. Under Massachusetts Title V, soil evaluation is the accepted method of determining the high groundwater elevation. This inspector is not a certified soil evaluator and is therefore not qualified under Title V to determine or establish the high groundwater elevation. The method used to estimate the high groundwater for this inspection was based on the public records and methods of observation described on the previous page. Groundwater levels can vary greatly from season to season, year to year and soil evaluation is considered the most reliable method of groundwater determination under Title V. eter F. Reill Inspector April 25, 2009 NORTil q Q �tllD ,6 • 0 0 t ti 70 * - LOLMIC lwlLll 44 �SSAC HUS�� PUBLIC HEALTH DEPARTMENT Community Development Division ffjE-jRTIFIC.Xrr(F OF C09VJCPr T gjrV E As of: May 19, 2009 This is to cert that the individual su6surface disposal system received a SAVS(FAC7ORTINS(PE070Yof the: Replacement of the ,peptic Taakand Oistri6udon Boal By: JKichaefgWCry .At: 120 Duncan Drive Map 104.B; Parce[1 TT North Andover, SCA 01845 The Issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. 7 Sgsan Sau5 er Pu6lic Health(Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com DelleChiaie, Pamela From: Sawyer, Susan Sent: Thursday, May 14, 2009 9:41 AM To: Bill Dufresne (brdufresne@comcast.net) Cc: DelleChiaie, Pamela Subject: RE: Septic- 120 Duncan Drive-Septic As-Built j I Bill,Thanks for looking at this for the installer. He definitely should have called the us when he first saw the problem. I am not sure if you will agree with Mike's determination of the location, and the old building sewer is in question as well. I understand it is bank owned so at least there are no residents in the home right now to be concerned about. Once a proposal/plan is submitted and approved,we can get them going again. Susan From: DelleChiaie, Pamela Sent: Thursday, May 14, 2009 9:30 AM To: Bill Dufresne(brdufresne@comcast.net) Cc: Sawyer, Susan; Grant, Michele Subject: FW: Septic - 120 Duncan Drive - Septic As-Built Hi Bill, Here is the original Septic As-Built for 120 Duncan Drive. Mike Reilly is doing the work at this site on the tank. Tank was moved which will affect the piping and d-box. P ;V"eQa �e�eL iaie Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax pdellechiaie@townofnorthandover.com-E-mail htM://www.townofnorthandover.com-Website Notes: If copied to BOH Members-Reference Copy Only-no response requested at this time From: noreply@yourcopier.com [mailto:noreply@yourcopier.com] Sent:Thursday, May 14, 2009 9:53 AM To: DelleChiaie, Pamela Subject: Septic- 120 Duncan Drive - Septic As-Built 1 TOWN OF NORTH ANDOVER NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES o?���� � HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 2-36 ", . . NORTH ANDOVER,MASSACHUSETTS 01845 �'ss;;CHU t� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: /_Z .!/�� LOT: INSTALLER: �`;� �v DESIGNER: (� PLAN DATE: J BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: lIj SITE CONDITIONS ❑Existing septic tank properly abandoned ❑Internal plumbing all to one building sewer ' ❑Topography not appreciably altered Comments: SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon tank has been installed H-10 loading Monolithic construction )' ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) installed, centered under access port 24" inch cover to within 6" of final rade installed over ❑ g one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Wastewater System Documentation—Feb 2006 Page 1 of 6 a L:i m �� -5 C TOWN OF NORTH ANDOVER NOR*N Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT '° 1600 OSGOOD STREET; Building 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 wcMus Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base Weep hole plugged ❑ mbo Tank installed. Size: ❑ 10 0 gallon Pump Chamber installed 10 loading Mo lithic construction) ❑ Inlet t installed, centered under access port ❑ Pump(s i stalled on stable base ❑ Alarm floa orking E] Pump On/0 oats working ❑ Separate on/o oats ❑ Drain hole in pres re line ❑ 24" inch cover to wit in 6" of final grade installed over pump access port ❑ Water tightness of tank h s been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment device: ❑ Installed per manufacturers requirements ❑ All components working in accordance with manufacturer's requirements Comments: Wastewater System Documentation—Feb 2006 Page 2 of 6 I i I K I+ ¢x{ O _f + h 4 cuY i + t - Am-I i F ,A. •'i M' � a U 4D t FI.� �x �� .�hrS�y�.... ATi. �',._G��ILi�� P• � CU�/���\ � , •e x c r' tw ,y ' t• � ,Fa �� /N L f ora niIV q-.27-9_ DoT /3 a �,� dscy�� �G...:: Soo S•F• L3 E� (SoUGRI• $E Pr,C. rAlyk rs t �`ANK ouT 17.9.43 la , - / -- Nh L/NE lZt3 i -�f�g jg JxB�s - !�B •fr� -- - 2 s^i� Page 1 of 1 DelleChiaie, Pamela From: Marianne Peters[mpeters@millriverconsulting.com] Sent: Thursday, September 14, 2006 10:35 AM To: DelleChiaie, Pamela Subject: 120 Duncan; all we have... Pamela, This is all that we have on the 120 Duncan location... P i I Marianne Peters Mill River Consulting 2 Blackburn Center Gloucester, MA 01930 978-282-0014 ph 978-282-0012 N www.millriverconsulting.com 9/14/2006 INSPECTION CHECKLIST FOR SEPTIC SYSTEMS Yes NO initials A. Bottom of Bed 1. Excavation to proper depth 2. With tmtches,sides of excavation are beneath B horizon 3. Edge of excavation specified distance from foundation,etc. Comments: B. Retaining Wall 1. Wall height and width as specified 2. Waterproofed 3. Wall minimum 10'to leaching facility 4. Wall meets specifications of plan Comments: C. Building Sews 1. Pipe diameter minimum 4" 2. Schedule 40 pipe �- 3. Watertight joints Z7` 4. Inlet to tank cemented 7 5. Slope minimum 0.01 or 1/8"per foot minimum U17- 6. Pipe properly set on compact firm base �^ - 7_ Pipe laid on continuous grade in straight line S. Cleanouts precede all change in alignment and grade 9. Manholes at any 90°change 10. 10'minimum offset to water line toe- Comments: /Comments: D. Septic Tank 1. Level c/ 2. 1,500 gal minimum 3. Gas baffle present on outlet 4. Manhole to grade ✓ 5. Manholes over tatter and each tee 6. 3-20"manholes 7. Inlet tee minimum 12"under invert c/ 8. Outlet tee minimums 14"under invert �- 9. Outlet line cemented ✓ 10, Air space 3"above tees �- 11. 2"-3"drop fioam inlet to outlet 12. Pipe set 13. Compact base with 6"of/4"crushed stone under tank 14. Tank is watertight ,� .� ✓ Comments: 6( mill C2V 5-;1 4,0 i I i Yes NO E. Pump Chamber I. if separate from tank,compact base with 6"of 3/4"stone underneath 2. Minimum 2"pipe to d-box if gravity system 3. 20"access manhole 4. Tank level 5. Watertight 6. Tank size agrees with plan specification 7. Manhole to grade S. Check valve and bleeder hole present 9. Alarm in building on separate circuit 10. Alarm functions It. Manual operating switch 12. Pump delivers liquid to d-box Comments: Al F. Distribution Box 1. D-box level ✓ 2. Mfi imnum 0.17"(2")drop from inlet to outlet ✓' 3. Minimum.6"sump ✓ 4. Outlet pipes show equal distribution 5. Compact base with 6"of stone beneath box 6. Box is watertight 7. All lines cemented with hydraulic cement 9. Schedule 40 pipe Comments: #510, vKfiti ff0$'){?J i 6 - CYK G. Soil Absorption system 1. All stone double-washed-IK"- I'h" -pea stone Bucket test done? 2. Minimum 2"of pea stone above distribution lines 3. Minimum C stone beneath pipe 4. Distribution lines capped or connected together S. Grading meets 3:1 slope 6. Minimum of 9"of fill graded over system 7. Toe of slope stops minimum 5'from edge of property;if not;then swaie. ��- Comments: fty C05 FL Leach Trenches 1. Mmimurn 2 trenches 2. Length of trenches agree with plan. (Max,length 100') 3. Width of tranches agree with plan-Minimum 2';maximum-4'. 4. Vent present if<50 feet or specified 5. Distance between trendies minimum 4'and maximum of 6' 6. Minimum distance between trenches 10' 7. Pipe slope minimum O.00S or 6"per 100' S. Depth of trenches below outlet invert minimum of 6". I i Yes NO 9. Pipes set on stable base. Comments: 1. Leach Field 1. Maximum length of field 100' 2. Pipe slope minimum 0.005 or 6"per 100' 3. Separation between pipe 6'maximum 4. Pipes connected at end 5. Separation between adjacent fields 10'minimum 6. Pipes set on stable base 7. Maximum 4'separation from edge of field to first line S. Minimum two distribution lines 9. Maximum pert rate 20 mpi Comments: I Leaching Pits 1. Minimum inlet pipe 4" ✓' 2. Pits of concrete ✓ 3. Sidewall between 12"and 48"wide +� 4. Access manholes on each pit -T 5. Pipes cemented with hydraulic cement Comments: K. Final Grade 1. Slope over soil absorption system minimum 0.02 2. All system components covered by at least 9"soil 3. Cover soil free of stones larger than 6" 4. Grading slopes away from dwelling '5. No areas over system that may pond DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, September 11, 2006 12:10 PM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; Marianne Peters (E-mail); 'McBrearty Andrew(E-mail)' Subject: 120 Duncan Drive- 104.6- 177 Hi Dan, Can you let me know if you have anything in your files on the above property? It had a Final Inspection back on 9/5/03. Unfortunately, I did not have any paperwork in the file, and the current homeowner is looking for a Title 5/COC, as they are now selling the property. Any information you may have on this property would be helpful. I told the No I would call her back today if possible. Thank you very much. p.s. -thank you for your nice note the other day :) $lost Ro#ands, Paw&DaB�loG�lfiailo Health Department Assistant Town of North Andover 1600 Osgood Street Building 20, Suite 2-36 North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com Page 1 of 1 Pamela DelleChiaie From: "Dan Ottenheimer"<info@milldverconsulting.com> To: "'Pamela DelleChiaie"'<pdellechiaie@townofnorthandover.com> Cc: "'Heidi Griffin"'<hgdffin@townofnorthandover.com>; "'Brian LaGrasse"' <blag rasse@townofnorthandover.com> Sent: Thursday, September 04,2003 4:05 PM Subject: RE: 120 Duncan Drive I will go out to the inspection at 120 Duncan tomorrow(9/5)in the a.m. Dan Mill River Consulting Septic System Management Services 5 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 info@millfiverconsulting.com -----Original Message----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent:Thursday, September 04, 2003 1:45 PM To: Dan Ottenheimer Cc: Heidi Griffin; Brian LaGrasse Subject: 120 Duncan Drive Importance: High Hi Dan, Dave Maynard called and is requesting a Final Inspection for 120 Duncan Drive. Can you call him directly and arrange a date/time? His number is 978.375.7228. Please let me know when it is scheduled. Thanks, Pam 9/8/2003 4103 ' CE•10R7 i,ti . b Town of North Andover `,.'•�,',;;:: HEALTH DEPARTMENT ,SSACM�St� CHECK#: /6/ATE:�✓�l D LOCATION: H/O NAME: CONTRACTOR NAME: i Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ TrashlSolid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ 0-`Septic Disposal Works Construction(DWC) $ � ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer rf R N°RTS Application for Septic Disposal System b"�6 °�Construction Permit TOWN OF TODAY'S DATE ORTH ANDOVER, MA 01845 $225.00-Full Repair AcMU $125.00 -Component Important: Application is hereby made for a permit to: When filling out ❑ Construct a new on-site sewage disposal system* forms on the computer,use ❑ Re air or replace an existing on-site sewage disposal system* only the tab key to move your epair or replace an existing system component-What?�� A- 0- ja cursor-do not ��` use the return A. Facility Information key. - IJb DdnC4n DKK Ve- ICI Address or Lot# No ren pna'o vim' City/Town 2.- *TYPE OFISEPTIC SYSTEM*: ❑ Pump ZGravity(choose one) ***If pump system, attach copy of electrical permit to application*** [3 Conventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser(Gravel-Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box)(Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present) S.A.S. 2. Owner Information Name e9 :u,r _t✓ S-1, 0. Address(if different from above) N4o. &Vt Mj!!� rn d�B�S City/Town State Zip Code g"7,g-�3 j V-.0 36 Telephone Number 3. Installer Information Name Name of Company/ Address &doivy-e /I�r9- D til d City/Town State Zip Code 979- 37S_- 4/,F// Telephone Number(Cell Phone#if possible please) 4. Designer Information Name Name of Company Address City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 0. N°RTS Application for Septic Disposal System •oopConstruction Permit — TOWN OF TODAY'S DATE ,w $250.00-Full Re air 3.'•�,,;;:..� s ORTH ANDOVER MA 01845 p ,SSACMUSt44 $125.00 -Component PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: esidential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been Jssuq?#by this Board of Health. Name Date . a '' VI Applicatio p ved By: (Board of Health Representative) • MZNam Date plication Disapproved for the following reasons: } For Office Use Only: 1. Fee Attached? Yes / No 2. Project Manager Obligation Form Attached? Yes 'n No 3. Pump System? If so,Attach coQv of Electrical Permit Yes fJ No 4. Foundation As-Built?(new construction ronly): Yes�I No (Same scale as approved plan) 5. Floor Plans?(new construction only): Yes �( No Application for Disposal System Construction Permit•Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS i . As the North`,kAdover licensed installer for the construction for the septic system for the property at: a D 6 r�� o V-/ Flaps by /V For(Address of septic system) t ) (Engineer) Relative to the application of Nl( �!/& ,�/ (Installer's name) And dated /l► u na ate) Dated �'- (,� o ay s ate With revisions dated fr (Last revised date) I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer, I must call for any and all inspections. If homeowner,contractor,project manager, or any other person not associated with my company schedules an inspection and the system is not ready, then item three shall be applicable. 3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection,without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50-00 fine being levied against me and/or my company a. Bottom of Bed—Generally, this is the first (1S) inspection unless there is a retaining wall,which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection—Engineer must first do their inspection for elevations, ties, etc. As-built of verbal OK (or e-mail to: healthdeptna.townofnorthandover.com) from the engineer must be submitted to the Board of Health, after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system,all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade—Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As the installer, 1 understand that only I may perform the work(other than simple excavation)and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover, significant fines to all persons involved are also possible 5. As the installer, I understand that I must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board of Health staff or consultant. d. Installation of tank, D-Box,pipes, stone, vent,pump chamber, retaining wall and other components. 6. As the installer. I understand that I am solel.�T responsible for the installation of the system as per the approved plans. No instructions by the homeowner,general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: (Today's f�y (Today's Date) _Wha d llN { (Name—Print (Name'—Signe 120 DUNCAN DRIVE JS-2007-000284 Proiect Detail Report Printed On:Thu Sep 28,2006 Project Name: GIS#: 989 Project No: O JS-2007=000284 Owner of Reco j HE BARBAGALLO FAMILY t µORT, 4 Map: ;104.13 Date Submitted: Sep-28-2006 ,120 DUNCAN DRIVE •,.�o r� 1p Block:— '0177 — Status: — Open — _ NORTH ANDOVER,MA 01845 Z Lot: Work Category: Work Location: 120 DUNCAN DRIVE r; Zoning: t Proposed Use:_ District: ~••F•p.•"t3 land Use: 101 Proposed Use Detail Subdivision Description Septic System Comments: of Work: Department Status GeoTMS Module: Status File No. Comments: LCDate: Board of Health GREEN FLAG BHJ-2006-000066 Homeowner Mrs.Bernadette Doherty called and wanted the CoC on the septic system. There was not one in file,just the plan review checklist that consultant sent. This was around the time that the consultant was starting with the BOH. 9/28/06-We cannot issue a COC without more information. Also,the COC would be 3 years old and a Title 5 inspection needs to be done. It calls for a grading easement to be recorded as well(see Mill River notes). Homeowner was given information,and was sent a list of approved Title 5 Inspectors. GeoTMS®2006 Des Lauriers Municipal Solutions,Inc. Page I of 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Thursday, March 19, 2009 9:49 AM To: 'Pamela5100@aol.com' Subject: 120 Duncan Drive- Health File Information Attachments: 120 Duncan Drive; 120 Duncan Drive-2; 120 Duncan Drive-3; 120 Duncan Drive-4; 120 Duncan Drive-5; 120 Duncan Drive-6; 120 Duncan Drive-7 Dear Ms. Lebowitz: Attached are scanned file copies of what I have in the file referencing 120 Duncan Drive. Please call if you have any questions. Enjoy your day! Pamela VeiZe&&& Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax pdellechiaie@townofnorthandover.com-E-mail http://www.townofnorthandover.com-Website 1 DelleChiaie, Pamela From: noreply@yourcopier.com Sent: Thursday, March 19, 2009 10:05 AM To: DelleChiaie, Pamela Subject: 120 Duncan Drive Attachments: SKMBT_60009031909050.pdf i DelleChiaie, Pamela From: noreply@yourcopier.com Sent: Thursday, March 19, 2009 10:06 AM To: DelleChiaie, Pamela Subject: 120 Duncan Drive-2 Attachments: SKMBT_60009031909051.pdf 1 DelleChiaie, Pamela From: noreply@yourcopier.com Sent: Thursday, March 19, 2009 10:06 AM To: DelleChiaie, Pamela Subject: 120 Duncan Drive-3 Attachments: SKMBT_60009031909060.pdf DelleChiaie, Pamela From: noreply@yourcopier.com Sent: Thursday, March 19, 2009 10:07 AM To: DelleChiaie, Pamela Subject: 120 Duncan Drive-4 Attachments: SKM BT_60009031909070.pdf 1 DelleChiaie, Pamela From: noreply@yourcopier.com Sent: Thursday, March 19, 2009 10:07 AM To: DelleChiaie, Pamela Subject: 120 Duncan Drive-5 Attachments: SKMBT_60009031909071.pdf 1 DelleChiaie, Pamela From: noreply@yourcopier.com Sent: Thursday, March 19, 2009 10:08 AM To: DelleChiaie, Pamela Subject: 120 Duncan Drive-6 Attachments: SKMBT_60009031909072.pdf i DelleChiaie, Pamela From: noreply@yourcopier.com Sent: Thursday, March 19, 2009 10:08 AM To: DelleChiaie, Pamela Subject: 120 Duncan Drive-7 Attachments: SKMBT_60009031909073.pdf 1 Residential Property Record Card PARCEL ID:210/104.B-0177-0000.0 MAP:104.B BLOCK:0177 LOT:0000.0 PARCEL ADDRESS:120 DUNCAN DRIVE PARCEL INFORMATION Use-Code: 101 Sale Price: 487,000 Book: 8662 Road Type: T Inspect Date: 09/18/2003 Tax Class: T Sale Date: 03/29/2004 Page: 235 Rd Condition: P Meas Date: Owner: Tot Fin Area: 1800 Sale Type: P Cert/Doc: Traffic: M Entrance: BCD-RMD FAMILY REALTY TRUST Tot Land Area: 1.33 Sale Valid: Y Water: Collect Id: RRC DOHERTY, BERNADETTE TRUSTEE Grantor: BARBAGALLOS,ANN Sewer: Inspect Reas: Address: 120 DUNCAN DRIVE Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LOM Indust-B/L% 0/0 Open Sp-B/L% 0/0 NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 6 Main Fn Area: 864 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE: R1 Story Height: 2 Bedrooms: 3 Up Fn Area: 936 Bsmt Area: 864 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 1 P 101 S 58117 1.33 272,560 Ext Wall: FB Half Baths: Unfin Area: Bsmt Grade: VALUATION INFORMATION Masonry Trim: Ext Bath Fix: Tot Fin Area: 1800 Current Total: 471,900 Bldg: 199,300 Land: 272,600 MktLnd: 272,600 Foundation: CN Bath Qual: T RCNLD: 181191 Prior Total: 439,400 Bldg: 187,200 Land: 252,200 MktLnd: 252,200 Kitch Qual: T Eff Yr Built: 1987 Mkt Adj: 1.1 Heat Type: HW Ext Kitch: Year Built: 1983 Sound Value: Fuel Type: O Grade: AG Cost Bldg: 199,300 Fireplace: 1 Bsmt Gar Cap: Condition: A Att Str Val 1: Central AC: N Bsmt Gar SF: 528 Pct Complete: Att Str Va12: Att Gar SF: %Good P/F/E/R: /100/100/91 Porch Type Porch Area Porch Grade Factor W 168 SKETCH PHOTO 14 12 No 168 1q.R12 . Picture 81 ffq.R528 tSq.R. Available 28 24 26 Parcel ID:210/104.B-0177-0000.0 as of 9/11/06 Page 1 of 1 Town of North Andover �� No pFk Office of the Health Department o p Community Development and Services Division 27 Charles Street '� c°� •.4� North Andover,Massachusetts 01845 �4SSRCHUs Sandra Starr Telephone (978) 688-9540 Public Health Director Fax(978) 688-9542 May 1, 2003 Joseph Barbagallo 120 Duncan Drive North Andover, MA 01845 f RE: Well Permit Denial for Lo 13 Duncan Drive Dear Mr. Barbagallo: The North Andover Board of Health unanimously voted to deny your application for a well permit at their meeting on March 27, 2003. As stated at the meeting and in the minutes, the permit was denied due to previous groundwater contamination and past site usage. There is town water service available on Duncan Drive and the Board of Health has determined that it is in your best interest from a public health standpoint to utilize the existing infrastructure. If you have any questions,please feel free to contact me at any time. Sincerely, Sandra Starr, Public Health Director Cc: Board of Health Building Dept. Conservation Dept. File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: SYSTEM OWNER & ADDRESS SYSTEM LOCATION (example: left (front of house) zo en o�ef� cJ�a�,� G.� l-�ovS-� pY1 /Va. ���� A� Cu��� DATE OF PUMPING: QUANTITY PUMPED GALLONS CESSP00L: NO t/YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION V FULL TO COVER HEAVY GREASE BAFFLES IN PLACE �— ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: 7, C'ONINIENTS: CONTENTS TRANSFERRED TO: North Andover Board of Assessors Public Access Page 1 of 1 pORT11 North.. Andover Board. of Assessors MATCHING PARCELS C"V Click on a column title to sort data by that column Click Seal To Return 20 items found,displaying all items.1 Fiscal Year Parcel ID St.No. Street Owner Name 2009 210/104.B-0023-0000.0 OOPEN3 DUNCAN DRIVE TOWN OF NORTH ANDOVER, CONSERVATION COMMISSION 2009 210/105.C-0040-0000.0 7 DUNCAN DRIVE R.JOSEPH GARON REVOCABLE TRUST, Search for Parcels GABON,R JOSEPH&KATHLEEN TRUST 2009 210/105.C-0005-0000.0 10 DUNCAN DRIVE BOURASSA,MARK&BARBARA, Search for Sales 2009 210/104.13-0171-0000.0 28 DUNCAN DRIVE SCHMITT,PAUL,DEBORAH SCHMITT 2009 210/104.13-0019-0000.0 50 DUNCAN DRIVE KERSHENBAUM,EDWARD, HAVATSELET KERSHEN13AUM 2009 210/104.13-0189-0000.0 75 DUNCAN DRIVE RABBITT,PAUL M,JANE M RABBITT 2009 210/104.13-0174-0000.0 $$ DUNCAN DRIVE WIEMAN,GARY B,SUSAN WIEMAN 2009 210/104.13-0188-0000.0 89 DUNCAN DRIVE MCGETRICK EDWARD J&IRIS, 2009 210/104.B-0187-0000.0 101 DUNCAN DRIVE PARKER,GARY W,C/O FRANCIS R.LANE 2009 210/104.13-0172-0000.0 110 DUNCAN DRIVE BARBAGALLO CHIDREN REALTY TRUST,BARBAGALLO,ANN TRUSTEE 2009 210/104.13-0186-0000.0 119 DUNCAN DRIVE BOVA,MICHAEL J,ANN P BOVA 2009 210/104.13-0177-0000.0 120 DUNCAN DRIVE DOHERTY,BERNADETTE C,TRUSTEE, B.C.D.-R.M.D.FAMILY REALTY TRUST 2009 210/104.13-0185-0000.0 131 DUNCAN DRIVE BURNS,DANIEL C,LINDA R BURNS 2009 210/]04.13-0178-0000.0 132 DUNCAN DRIVE WELCH,ROBERT D,GAYLE V WELCH 2009 210/104.B-0179-0000.0 142 DUNCAN DRIVE BALLARD,DOUGLAS C,JOYCE E BALLARD 2009 210/104.13-0184-0000.0 143 DUNCAN DRIVE DURGIN,SCOTT A,KIMBERLY S DURGIN 2009 210/104.B-0180-0000.0 154 DUNCAN DRIVE JANKOWSKI,JOHN,JANKOWSKI,JULIE 2009 210/104.13-0183-0000.0 155 DUNCAN DRIVE SCANLON,MICHAEL I2,KATHLEEN G SCANLON 2009 210/104.13-0190-0000.0 166 DUNCAN DRIVE DRISCOLL,WILLIAM J,BONNIE J DRISCOLL 2009 210/104.13-0182-0000.0 167 DUNCAN DRIVE SEELEY,EARLE B,KATHRYN M SEELEY 20 items found displaying all items.1 i I I http://csc-ma.us/PROPAPP/newSearch.do?town=NandoverPubAcc&from=NewSearch 3/23/2009 IBoard of Health '' / North Andover,?iass t� « suBsuRFACE DISPOSAL DESIGN CHECK LIST � LOT # APPROVED DATE DISAPPROVED DATE0Sia - Provided: Reasons t-�v�� S1.4e�J l.c��-cc,..� ca•F'i'C-�T t�� e Title V FAIL CE Reg 2.5 The submitted plan must show as a minimt,mz a) the lot to be served-area,dimensions lot #,abutters Lcb",, cF�location and log deep observation hoes-distance to tie location and results percolation tests-distance to ties design calculations & calculations showing required leaching area location and dimensions of system-including reserve area existing and proposed contours (g) location any wet areas vithin 1001 of sewage disposal system or disclaimer-check wetlands mapping (h) surface and subsurface drains within 100' of sewage disposal system or disclaimer (i) location any drainage easements within 1001 of sewage disposal system or disclaimer-Planning Board files (3) known sources of water supply within 2001 of sewage disposal system or disclaimer location of ary proposed well to serve lot-1001 from leaching facility location of water lines on property-101 from leaching facility location of benchmark ( driveways garbage disposals no PVC to be used in construction q) profile of system-elevations of basement, plumb, pipe, septic tank, distribution box inlets and outlets, distribution field piping and Other elevations maximum ground water elevation in area sewage disposal system 4(s) plan must be prepared by a Professional Engineer or other professional authorized by law to prepare such plans Reg 6 Septic Tanks (a) capacities-150of flow, water table, tees, depth of tees, access, pumping (b) cleanout c) 101 from cellar wall or inground swimming pool d) 251 from subsurface drains Reg 10.2Distribution Boxes ol a) s ope greater than 0.08 Reg 10.4L=iAb) sump babsurface Design Check List .- Page 2 - FAIL OK Leaching Pits Leaching pits are preferred where the installation is possible Reg 11.2 a) calculations of eaching area-minimum 500 eq ft 11.4 1b) spacing 11.10 c) surface a 2% 11.11 d) cover erial e) 2'x2' R splash pad f) to t elbow g) bends in pipe from d-box to pipe Leachin Fields Reg 15.1 ) no greater than 20 minutes/inch area-minimm 900 sq ft 11 15. c construction of field 15.8 d) surface drainage 2 % 3.7 e) 20' from cellar wall or inground swimming pool Lmhina ftmches Reg 14.1 a) calculatIons o "Ching area-min 500 sq ft 14.3 b) spacing-4 ft 6 ft with reserve between 14.4 c) dimensio 111.6 d) cons ction U-7 e) is e 14.10 f) face drainage 2% Downhill. Slon e SIO-pe 7/x = JTo be shown) y/x X 150 = (to be shown) s Reg 9.1 a) Od-by val 9.6 b) power 1 - lroc..�"rtt�►.� of -+psi ��o� c (�eL.-�sT Nd� sti�...N o►� I'Ap.N Board of Health 8$PTIC STSTEK North An ver Maas. INSTALLATIcd CHECK LIST LOT 13 8 Dviv 1V P OvED D IS WPRZ E I E I AVATIa OK FAIL �l WOK To ccri 117 BrB FAIL OE /tf� Z:)Gv/ Pv GGA 1. Distance To: a. Wetlands b. brains C. Well 2. Water Line Location 3. No PPC Pipe --- Alm— i/ten ��i3 4. Septic Tank a. _Tees Length &. To Clean that Covers 00 b. Cement Pipe to Tank On Both Sides of Tank i s' /!moo 5. Distribution Box a. Covers & Box - No Cracks b. All Lines Flowing Equal Amounts c. No Back Flog 6. Leach Field or Trench a. Dimensions b. Stone Depth c. Capped Ends d. Clew Double Washed Stone 7. Leach Pit a* ions b. Sto Depth C. 8p ash Pads d. T s e. anent Pipe to Pit - Both Sides. f. Clean Double Washed Stone 8. No Garbage Disposal y nal Grading Inspection 10. Barricading Covered System 11. As Built Submitted - --- a. Lot Location b. Dimensions of System c. Location -4th Regard-to Pere Test d. Elevations e. Water Table /�ex� v ._ DEQE File No. (To be provided by DEQE) I North Andover Commonwealth City/Town of Massachusetts Joseph, Barbagallo Applicant UV Order of Conditions Massachusetts Wetlands Protection Act and under the Town- of Norrth�Andove§ByLaw, Chapter 3.5 A & B Fro North Andover Conservation Coaunission To Joseph Barbagallo, Jr. Joseph Barbagallo. Jr. (Name of Applicant) (Name of property owner) Address I Westward Circle .Address 1 [westward Circle Nortri Reading, eia North Reading, iiA 0 16 6-2T This Orders issued and delivered as follows: D Eby hand delivery to applicant or representative on (date) EJ by certified mail,return receipt requested on May 11, 1933 (date) This project is located at Lot 13B Duncan Drive The property is recorded at the Registry of Northern Essex Book 115G '} Page 163 Certificate(if registered) The Notice of Intent for this project was filed on _iV)r i 1 19, 19 g 3 - (date) The public hearing was closed on April 27, 1983 (date) Findings The North Andover Conservation Co=-. has reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project. Based on the information available to the :4i,CC at this time,the 'vACC has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act(check as appropriate): E9 Public water supply D Storm damage prevention 13 'Private water supply 0 Prevention of pollution* Ground water supply O Land containing shellfish © Flood control O `Fisheries -1- ` 444 J4 Therefore,the NACC hereby finds that the following conditions are necessary,in accordance with the Performance Standards set forth in the regulations,to protect those inter- ests checked above.The NACC orders that all work shall be performed �) in accordance with said conditions and with the Notice of Intent referenced above.To the extent that the fol- lowing conditions modify or differ from the plans, specifications or other proposals submitted with the Notice , of Intent,the conditions shall control. General Conditions 1. Failure to comply with all conditions stated herein,and with all related statutes and other regulatory meas- ures,shall be deemed cause to revoke or modify this Order. : - 2. This Order does not grant any property rights or any exclusive privileges; it does not authorize any injury _ to private property or invasion of private rights: 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal,state or local statutes,ordinances,by-laws or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: (a) the work is a maintenance dredging project as provided for in the Act;or (b) the time for completion has been extended to a specified date more than three years,but less than five years,from the date of issuance and both that date and the special circumstances warranting the extended time period are set forth in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 8. Any fill used in connection with this project shall be clean fill, containing no trash, refuse, rubbish or de- bris,including but not limited to lumber,bricks,plaster,wire, lath, paper, cardboard,pipe, tires,ashes, refrigerators,motor vehicles or parts of any of the foregoing. 7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or,if such an appeal has been filed,until all proceedings before the Department have been completed. . 8. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is to be done.The recording information shall be submitted to the NACC on the form at the end of this Order prior to commencement of the work. -9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental duality Engineering, File Number 242-1 94 ? 10. Where the Department of Environmental(duality Engineering is requested to make a determination and to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before the Department. 11. Upon completion of the work described herein, the applicant shall forthwith request in writing that a Certificate of Compliance be issued stating that the work has been satisfactorily completed. 12.The work shall conform to the following plans and special conditions: - 2 - - 242-194 a. Abbreviated Notice of Intent submitted by Jose5h Barbagallo, Jr. dated April 15, 1983, three (3p} pages. b. Plan entitled "Subsurface .Disposal System Design for Lot 13B Duncan Drive, North Andover, MA:' Prepared by Frank C. Gelinas & Associates dated May 6, 1982 revised October 19, 1982. 13. A row of stated hay bales shall be placed between all construction areas and wetland areas . This row of hay bales shall remain intact until all disturbed areas have been stabilized to prevent erosion. 14. All disturbed areas shall be graded, loamed and seeded to provide restabilization of disturbed areas. After restabilization, hay bales shall be removed and sedi- mentation shall be removed from areas of accumulation. 15. All erosion prevention and sedimentation protection measures found necessary during construction by the North Andover Conservation Commission will be implemented at the direction of the NACC or Highway Surveyor. 16. Any changes in the submitted plans, Notice of Intent, or resulting from the afore-ner�tioned conditions :ust be sub- riqitted to the N,ACC for approval prior to i :tplementation. If the NACC finds , by majority vote, said changes to be significant and/or deviate from the original plans, Notice of Intent or this Order of Conditions to such an e,,tent ti7iat the interests of the V`etlands Protection Act cannot be pro- tected by this Order of Conditions a-Lid would best be served by the issuance of additional condi tions , t'zen the iv'Y:CC ctiill call for another public hearing wit11in 21 days, at the expense of the applicant, in order to take testimony from all inter- ested parties. ,.7ithin 21 days of the close of said public hearing, the NACC will issue an mended or new Order of Conditions . 17. Any errors found in the plans or information subr<<itted by the applicant shall be considered as changes and procedures outlined for changes shall be followed. 18. The provisions of this Order shall apply to cnd be binding upon the applicant, its emi_,ployees, and all successors and assigns in interest or control. 242-194 19. Prior to the issuance of a Certificate of Compliance, the applicant shall submit a letter to the Conservation Commission from a registered professional engineer certifying that the work is in compliance with the plans referenced above and the conditions stated above. 20. Members of the NACC shall have the right to enter upon and inspect the premises to evaluate compliance with this Order of Conditions. 21. Accepted engineering and construction standards and procedures shall be followed in the completion of the project. 22. Issuance of these conditions does not in any way imply or certify that the site or dovmstream areas will not be subject to flooding, .storm damage, or any other form of damage due to wetness. 4 - L4L-1`14 Issued By Nor Andover Conservation Commission Signatures) This Or'der must be signed by a majority of the Conservation Commission. On this 11th day of May .19 83 , before me personally appeared Anthony !;a 1 gra ana ,to me known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed. Notary Public My commission expires The applicant,the owner,any person aggrieved by this Order,any owner of land abutting the land upon which the proposed_work is to be done or any ten residents of the city or town in which such land is located are hereby notified of their right to request the Department of Environmental Quality Engineering to issue a Superseding Order,providing the request is made by certified mail or hand delivery to the Department within ten days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mal or hand delivery to the Conservation Commission and the applicant. Detach on dotted line and submit to the prior to commencement of work. .............................._..............................................................................................................................................................................._. To :Issuing Authority Please be advised that the Order of Conditions for the project at File Number has been recorded at the Registry of and has been noted in the chain of title of the affected property in accordance with General Condition 8 on . 19- If 19If recorded land,the instrument number which identifies this transaction is If registered land,the document number which identifies this transaction is Signature Applicant 5 T 'r`).41T 1�f+:'��'a?;',i�'p'r;4.`j,a .. �ryf•�Jsfcy` f:j;lc .•a..v• (' r G3i:• ni4h1 ,:Urn e:• Y ! tt /<•I ir. ,7 ORfA [OV ER MASSACHUSETTS '`' RECEIVED. 'Syji 3r �\ ,},,, Y�j `��`i�'��,jJ,{�,,Y �';` 'lt'•'K� y',ir'r. ,�� - ;:{.,i.f',��4,j4,di \� �.;.: ''�'►vjQa•�y,lijr,•i(Y1j•;Aafh'.�i},�,"•1`tltifr rj'•y?.'�„t., 'C, ,�' �.''iFj��'„ !/ �ht,1„ Ir,.'A.:,' 1; /,,,a.lii��{w!• 1' ' . DERhai provir.!• :F 1 uw,tiYl',.I�r?'f.,.;'..r ded 01i'torm for use by local Boards of HealTheJ st PKtng ecord must ;.:. be sub mit#ed to the.loca�'Board of Health or other approyIn authority. Via• •:: �; ANDO" .'A Facility inf9miation H� of NOPrr+ . .,jy�Wr�sn• �out 1 System Location) . ' . owl only the tab key r Address to move your:: cursor•do dot C /T & nP l `.usi thi return % kY;own r.. •,. , .r State v P Pods Owner,"� X14 / :'\' :Y':'+):. \fib' ,1"ail, !t,,r•. Name"',}..;Mr: .. ,.'i'.(!p,",t::'.,',:.C1Y,.; , Address1(If ditferont from location) CIVITown .t�; ::;. :.;i'.• State /�(y\/(/y�J� ��1///fff///�Zip Code Telephone Number 1. .., r •'t•i. ...,. •� •,,.1•.11 :: .. :Y�"� •:�i`✓,'r' .'11,x,1:`,1.. .�.1./,,".,, �: ' , !� lir•.(,' � r�1�q'{i �• �Il •;� •:. � ,p•�. • •.. .Date°of Pumpin9 ' 'pa 2, Quantity Pumped: '.Type Qf,aystem ; ❑ Cesspools) eptic Tank ❑ Tight Tank Other(describe);:' �,.r.•� �.y.r.i.:''ti,i:,/'•i.•iifl n.('n'1..,•,A,N.y,',YF•Jj.� � y.li Eftluerit,Tee Fllte(present?.❑ Yes o If yes, was Ifcieaned? ❑ Yes ❑ No ' '.i/ .� .7.'i, ".. .(,Mt`Wi/.{ •r.i7a'.�1•i}'t.,Y'•,�ii"/i. '.�'' Ile of8ya�fAAm',,;... .. .. t Y w* 1.M.iY Vy�t�1•l i.t 1-'M1r tl.ttt��.l'vM r •.' �L) •yy, r��.a `.( .'�4 !Yt Y i 7 r*!)st,�•}I'..{ t,trtt/7 1„!:%�:i:� :li err!i a 1, t.:! {�j�y'�/ \/' /J//y1//n/j (��I J��' '7 .._, `�'•"';i:,;'�.t';.;:1-';'!Zjiy„Y.:'�3G!'i`''i<i`Nldir (lti',(�lI'1y1'',ti ' P4impt;td ay,,.•,: :.�'.,'.` > 1.�Y•(iiu•r,�:•.yt.';a�i^!'' r prrh •ti,' '7 r;`, +',:' �. .,.., '.. Vehicle Ucenie Number .1."�ti:��• :�•�.'{:".�,`,?ap��;yi{f1:;7�}!:'5�';�y,pt j }t�} :1✓� .t��'iv :•rj. ,. •s,/ryl,''.1,, `� V�I a�' V1 I • r l :+:. /,�':.�:.',;rl�.it tih ti Yr• 'NJ} � ,�/.:•f:�rTr,{t, �::s�.r:.:�). f,'><✓•.yGN"n..�ra'��Iro�}iii�! ,��+t (y�,;.{�,f �'�y�•It'.� •v.�,� • .ere:d(Q posed; ,'' '.t.'..;i,'�.':Y t:},t!`ll.�',r•..',y�,i'''.:. '•`It, �.,t 1 �1� \ Vw1 {� :�,:,}IA�y,i!r•„}r t,.Y L' r', r 1r 1 JI .I,. 1. i, "•i. '•i.y;il�.Ta ) �1..i•', '"}i:•(i'.F`•'Ja 'jl.,W..,,{}'.r,i 1..:,p..,r, '•r,,t� . it.:;�yi��i'•YYY•'��d7i,d��'C:iy;'i''t:;' 1:•. '�!v+�; t'L•f y:i i' , .�i;, I<•(1 :�'.• ., `;. .P:<i!i,'..Iib.1..Yi:fjy.{a;'il'4j•1:L',•..7};1f:5fy.1:4s.11• of Hauler; ; ,,.!. ,. Date httpJ/www•mass•gov/dep/watet/epprcva]SAoforms,htm#Inspect t5forrM.docr•06/03 ,' :,�'; :. ,: System Pumping Record Page 1 of 1 z r TO: NORTH ANDOVER, MASS Sep .r -P7 19 9-3 BOARD OF HEALTH FROM: DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection This is to certify that I have inspected the construction of the said disposal system at 3 8 X- )u N CA/V '2>R • North Andover, Mass. SITE LOCATION The grades and construction are as specified in m!�,plans and specifications dated l2r`v �o-ry 19_E Z Q y G7R/3N,< GEZ11VjS q �ssgc,c� ES ���o�a coM,yo e rneer/ unitarian N Irl ` ti O �O O r /f0 T-e A-S />`/ C—Pea u/Y D PL11A.) s ss� �R—�� WELL DATABASE ADDRESS: AGE OF WELL: r WELL DRILLER: WELL PER1tiIITm: �2 WELL LOCATION: lo 6 y �e WELL PERNIIT DATE: DEPTH OF WELL: _TYPH OF WELL: a.. DRIL.L.ED b. D UG c. UNKNO TYPE OF WATER BEARING ROCK: WATER ANALYSIS•DATES GH 1 ,- GANESE: Y N - HIGHIRON: Y N OT=CONTAMINANTS: Y N Commonwealth of Massachusetts City/Town of RECEIVED System Pumping Record Form 4 MAY 2 6 2009 DEP has provided this form for use by local Boards of Health. Oth iF"F9�A e information must be substantially the same as that provided here. k with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: r � When filling out 1. System Location: Left front, left rear, left side of house. Right front, right rear ht si f hous forms on the computer,use only the tab key Address �/ , to move yourV cursor-do not use the return City/Town State Zip Code key. 2. System Owner: Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Oct Date 2. Quantity Pumped: Gallons 3. Type of system: El Cesspool(s) Septic Tank Tight Tank Ij Other(describe): 4. Effluent Tee Filter present? 0 Yes L No If yes,was it cleaned? Yes No 5. Con ition of Sys\;` 6. System Pumped By: Nell Bateson F 5821 Name vehicle License Number Bateson Enterprises Inc Company 7. Location here contents were disposed: L.S.D Lowell Waste Water r igna ure of H Or Date t5form4.doc•06!03 System Pumping Record•Page 1 of 1 CEIVED Commonwealth of Massachusetts OCT t a 2012 North Andover, Massachusetts TOWN OF NORTH ANDOVER HEALTH DEPARTMENT System Pumping Record System Owner& Address: Robert Webster 120 Duncan Drive North Andover, MA 01845 Location of system: Left side yard Date of Pumping: October 03.2012 Type of system: Septic Tank Gallons Pumped: 1500 gallons System pumped by: Service Pumping& Drain Co., Inc. S Hallberg Park North Reading,Ma License#: BHP-2011-0413,0412,0411,0410,0409,0408 Contents transferred to: Greater Lawrence Sanitary District Date: October 03, 2012 Pumping Technician: PK This is PROPRIETARY and CONFIDENTIAL information that may be iised only by the Board of Health for regulatory purposes